Evidence map›Paper›PMID 35193525›Full record

Observational studyBMC cancer2022

Chemotherapy versus chemoradiotherapy for FIGO stages IB1 and IIA1 cervical squamous cancer patients with lymphovascular space invasion: a retrospective study.

Hao Zhang, Rao Yu, Lan Zhang, Rong Wang, Lin Xiao

Open access · goldAbstract readComparative StudyObservational Study
In one paragraph

Observational study in BMC cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.2field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 10 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Hao ZhangDepartment of Gynecology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China.ORCID https://orcid.org/0000-0001-7255-0376
Rao YuDepartment of Gynecology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China.ORCID https://orcid.org/0000-0003-4709-4772
Lan ZhangDepartment of Gynecology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China.ORCID https://orcid.org/0000-0002-7813-2578
Rong WangDepartment of Gynecology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China.ORCID https://orcid.org/0000-0002-7157-6037
Lin XiaoDepartment of Gynecology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China. xiaolin@hospital.cqmu.edu.cn.ORCID https://orcid.org/0000-0003-2240-8659
The Affiliated Yongchuan Hospital of Chongqing Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the impact of different adjuvant therapy on IB1 and IIA1 stage cervical squamous cell cancer patients with lymphovascular space invasion. It also aimed to analyze the relationship between lymphovascular space invasion and other clinical pathological characteristics on IB1 and IIA1 stage cervical squamous cell cancer patients.

methodsThis retrospective observational study collected data of FIGO stages IB1 and IIA1 squamous cervical cancer patients at the First Affiliated Hospital of Chongqing Medical University between 2014 and 2018. A correlation analysis between lymphovascular space invasion and other clinical or pathological factors was conducted. Prognosis analysis of patients with lymphovascular space invasion were performed to assess associations between clinical-pathological characteristics and survival.

resultsA total of 357 women were identified including 110 (30.8%) with lymphovascular space invasion, 247 (69.2%) without lymphovascular space invasion. Both middle 1/3 cervical stromal invasion (p = 0.000) and deep 1/3 cervical stromal invasion (p = 0.000) were independently associated with lymphovascular space invasion. Among lymphovascular space involved women, tumor differentiation (P = 0.001) and postoperative therapy (P = 0.036) had a significant influence on disease recurrence. Multivariate analysis showed that lymph node metastasis (P = 0.017), poorer tumor differentiation (P = 0.036) and postoperative chemotherapy alone (P = 0.021) can increase the risk of tumor relapse.

conclusionOur study suggested that the presence of deep stromal invasion independently increases the risk of lymphovascular space invasion. Compared with chemotherapy, chemoradiotherapy seems to improve progression-free survival in squamous cervical cancer patients with lymphovascular space invasion.

Indexed as

AdultCarcinoma, Squamous CellChemoradiotherapy, AdjuvantChemotherapy, AdjuvantFemaleHumansLymphatic MetastasisMiddle AgedNeoplasm InvasivenessNeoplasm StagingPrognosisRetrospective StudiesTreatment OutcomeUterine Cervical NeoplasmsAdjuvantChemoradiotherapyChemotherapyProgression-free survivalRisk factorSurvival analysisUterine cervical neoplasms

Identifiers

PMID35193525
PMCPMC8864837
OpenAlexW4213428246

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.